Alonzo Roberts
NPI #1326429572 in Jackson, Mississippi
Provider Information
- NPI Number
- 1326429572
- Entity Type
- Individual
- Name
- Alonzo Roberts
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 13, 2015
- Last Updated
- Jun 16, 2015
Practice Location
- Address
- 6110 HIGHWAY 18 W
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39209-9322
- Phone
- (601) 622-1808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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